Organization
WEST TEXAS DIGESTIVE DISEASE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOUSSAM AL KHARRAT M.D. (PRESIDENT)
(806) 788-4368
Entity
Organization
Contact information
Practice address
5115 80TH ST, LUBBOCK, TX 79424-3017
(806) 788-4368
(806) 788-4369
Mailing address
PO BOX 93128, LUBBOCK, TX 79493-3128
(806) 788-4368
(806) 788-4369
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
L8588
TX
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/25/2007
Last updated
03/15/2023
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